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Louisiana rates for HCPCS A4389

Ostomy Pouch Drainable With Barrier Attached With Built-In Convexity (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $6.14 / $6.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $6.14 / $6.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.56 / $12.91 / $18.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.16 / $6.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.22 / $6.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.04 / $5.68